Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00212035 Renewal 09/15/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65The ventilation unit in the bathroom was inoperable and had no window.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. 1. The landlord was contacted and the bathroom vent was repaired 12/09/2022 Implemented
6400.72(b)Broken blind in the individual's bedroom. Screens, windows and doors shall be in good repair. 1. The agency contractor was dispatched and replaced the blind in the individual¿s bedroom 12/09/2022 Implemented
6400.76(a)Couch is not in good shape. It was discolored and very worn down and needs replacing. Furniture and equipment shall be nonhazardous, clean and sturdy. 1. A new couch was purchased and placed in the home. 12/10/2022 Implemented
6400.167(a)(1)Cetirizine 5mg 1tab daily medication was not administered to Ind #12 (not available) from 9/9-9/13/2022. Not available per the Site supervisor and the MAR. A/D ointment was dispensed to the agency on 9/9/2022 but was not administered until 9/13/2022.Medication errors include the following: Failure to administer a medication.1. A medication error was filed for this medication not being given. Incident#__9091396_____ 12/09/2022 Implemented
SIN-00201782 Initial review 03/15/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The Base cabinet across from the stove had a loose handle and broken or loose hinge. The floor located in the hall before entering the bedroom was damaged and a plank was removed.Floors, walls, ceilings and other surfaces shall be in good repair. 1. This was corrected on 3/21/22, the handle on the cabinet is no longer loose. (Attachment 13) 04/29/2022 Implemented
6400.67(b)There was a junction box on the wall of the Bedroom with exposed electrical wire with endcaps. Agency put a protective plate on the wiring after discovery. Floors, walls, ceilings and other surfaces shall be free of hazards.1. This was corrected on site. The program supervisor on site was able to fix the protective plate while during the walkthrough. 04/29/2022 Implemented
6400.71Emergency phone numbers were not located near the telephone located in the bedroomTelephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. 1. The numbers of the nearest hospital, police department, fire department, ambulance and poison control center will be added to the telephone by 4/15/22 04/29/2022 Implemented
6400.82(e)There was no nonslip mat or surface located near the shower in the bathroom. Bathtubs and showers shall have a nonslip surface or mat. 1. This was corrected on 3/21/22, bath mats have been added to both bathroom #1 (Attachment 14) 04/29/2022 Implemented